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Job Addre$s
Nature .of Work
Owner
Contractor
··~,. ............ , ... -~· ~ -·.: ..
GARFIELD COUNTY BUILDING AND SANITATfON DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81.601
(303) 945,;sz41 I (303) 625·3321
Date:
N! 00291&
~BUILDING PERMIT APPLICATION
GARFIELD COUNTY BUILDING DEPARTMENT
Garfield County, Colorado, oc./-2 4' , 19 ~
Owner :Joh H /J f" Th u_/.so h ADDRRfiS :OSl'O 3 I 3. ( (\ c( PHONE :7'9's: &'81 ~
ContractororBuilder:Uh/i<r-D4u.76er/;ADDRESS• ;2:)"')1 5f 1-/t<JV l3'3(At-bo.-.,ifo\rn:963-l'S1
Location: 0~03 I ?/ R Cf t.:;/.Akl u. J,dc( ¥r~f
PmpoKforwhichbuildingisrobeused: __ ~~~~~-c--~4~--·--~~-----~~----------
Size of Lot: lo ( -f &ec{ s,'/-e . 2$' ( + r; d ~ ..f._ I Eer c,,k
Distance of building from property line at
Front:---2'4f' ~ Rear: ;2,)' ( /=
Distance from nearest building:----------
Source of water supply: -------------
Type of sewage disposal:-------------
Width of building: /12 I' ~f'I'
Length of building:~
Height of walls: ---+11/4-w-..i~,__ __________ _
Floor space in square feet: ___ 3_51_.._~....__ _______ _
Estimated. value: $ __ _,_/_.~_,__.~~--·-------
Date construction will begin: ---~-------
Permit charge: $ __ /,_1'*'--~-'P=-· ,___ _____ _
Plan check fee: $ __ _.S'..__z.._~ _____ _
TOTAL: $-~-~-,__..,,.~~-----
~} /_L
Left Side: _ __,_~_v'--_,C'------Right Side: /tJ / ,,L-
Number of stories:--------------~
Number of rooms=--------------~
Type of foundation:---------------
Material in outside walls:-------------
Exterior finish:----------------·
Type of roof:------------------
Date of completion: __,Olo.'---'C"-'-'-~----'S'---d-+1_____...f:,__-3 ____ _
I
And I/We hereby agree to build strictly to the terms of the above description, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused by the construction of said building.
Respectfully,.(1~.,-~~
The County Commissioners hereby grant the above permit as per terms tberein stated. This ---£;~~__.4 .... · _!( __ _ day of
•"'·-,,;,,.·;: .-......
: : I . :-
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Section V -CONVERSIONS PRIVATELY OWNeD · PUBLICLY OWNED
Nonresidential and nonhousekeeping
Item i----Nu_m ... be_r_--i
No. uildings Housing
units
(a) (b) (c)
bui I dings to housekeeping bui I dings 540
Housekeeping buildings to nonresidential
and nonhousekeeping bui I dings 541
Section VI -DEMOLITIONS AND
RAZING OF BUILDINGS
One-family buildings attached
and detached
Two-family buildings
Three-and four-family buildings
Fi ve~or-more fanii ly bu i rdi ngs
'~ l
645
646
647
648
All other buildings and structures 649
Valuation of
consttuetion
(Omit cents)
(d)
Number
Buildings Housing units
(e) (f)
Section VII -ADDITIONAL INFORMATION FOR INDIVIDUAL PERMITS OF $500,000 OR MORIE
Valuation of
construction
(Omit cents)
(g)
Please provide in the space below, additional Information for each individual permit valued at $500,000 or more
entered in sections I through V.
Item f.kl.
from
Sec.
1-V
(a)
Description
(b)
ind of bu1 ding
Site address
Kind of building
Site address
Kind of building
Site address
Kind of building
--~~---~~~~-~-------Site address
·Kind of building
~~a~ress ____________ _
Kind of building
Site address
Kind of building
site address---------------
site address--------------
Kind of building
site add~Ss--------------
Comments
t1'ame and address of
owner or builder
(c)
-=~~-~----~---=~--~~~--
Ownership
Mark (X}
one
(d)
D Private
O Public
O Private
OPublic
OPrlvate
OPublic
O Private
OPublic
--------- --------------D Private
-----------------------O Public
CJ Private
D Public
O Private
O Public
0 Private
O Public
------------------- ----0 Private
-------------------------O Public
$
Valuation of
construction
(Omit cents)
(el
Number of
housing
units
(f)
Name of person to contact regarding this report Telephone
~;;.:-------------------------------J Area code Number I Title
FORM C-404 17 5-61 / ............. ----.-..----~~
Number
of
buildings
(g)
Extension
O.M.B. No. 0607-0094: Approval Expires June 1984
FORM C-404
(7 ~6· 81 )
Period in which
permits issued
U.S. DEPARTMENT OF COMMERCE
SUREAU OF THE CENSUS PLEASE MAIL ON OR BEFORE THE 4TH DAY OF THE MONTH
REPORT.OF BUILDING OR ZONING
PERMITS ISSUED AND LOCAL
PUBLIC CONSTRUCTION
(Please correct any errors in name or address)
CENSUS USE ONLY
Has the geographic coverage of this permit
system changed during this period? iXl No CJ Yes -Explain in comments
Section I -NEW RESIDENTIAL HOUSE-PRIVATELY OWNED
KEEPING BUILDINGS ANO Item Number
MOBILE HOMES No. ~----.----1
ui !dings H~~fti~g
(a) (b) (C)
One-family houses, detached
One-family houses attached, each unit
separated from adjoining unit(s) by a
101
wal I that extends from ground to roof 102
Two-family buildings 103
Three-and four-family buildings 104
Five-or-more family buildings 105
109
112
. P.&SIDENTI
HOUSEKEEPING
BUILDINGS
Item Number No. t---""""------i
Buildings Rooms
(al (bl (cl
Hotels, motels, and tourist cabins
intended for transient accommodations 213
Other nonhousekeepi ng she I ter 214 I
Valuation of
construction
(Omit cents)
(dl
Valuation of
construction
(Omit cents)
(d)
'1J)OO
Sectidn Ill -NEW NONRESIDENTIAL
BUILDINGS
PRIVATELY OWNED
Item
No. t----r-:-<"-<-'1
(a)
Amusement and recreational buildin s 318
Churches and other religious buildings 319
Industrial buildings 320
Parking arages (open to genera I public) 321
Service stations and repair arages 322
Hospitals and other institutional buildin s 323
Office, bank, and professional buildings 24
ther nonresidential buildin s
ructures other than bui I din s
Section IV -ADDITIONS AND
ALTERATIONS
-o I 15 .:: An increase in the number of housing
Vl .:= units (in the housing units column,
433
§ ~ enter only the number of additional
:~ ~ units)
-0 ~ 1-----------------------------+---+------~ ~ No change in the number of
434 -~ housing units ~ Vl i------w----------------------+---+------.-· -c
';: 0 b h a:;·;::; A decrease in the num er of ousing
-o ~ units (in the housing units column, ·~ ~ enter only the number of decreased
oc <ii uni ts)
Residential prages and carports
(attached and detached)
435
436
All other buildings and structures 437
Valuation of
construction
(Omit cents)
(d)
PUBLICLY OWNED
Number
Buildings Hou~ing
(e) u7ns
Number
Buildings Rooms
(e) (fl
Valuation of
construction
(Omit cents)
(g)
Valuation of
construction
(Omit cents)
(g)
PUBLICLY OWNED
Number
Buildings Hou~ing units
(el (fl
Valuation of
construction
(Omit cents)
(gl
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